Alan, Robert L

Alan, Robert L is an individual health care provider with primary practice located at 4540 Cordata Pkwy Suite 103, Bellingham WA 98226-8059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Alan, Robert L can be contacted via phone (360) 676-8663.

Contact Information

Primary practice address
4540 Cordata Pkwy Suite 103 Bellingham WA 98226-8059
Phone: (360) 676-8663
Fax: (360) 676-8682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD00012453 Washington

Profile Details

NPI number 1780654335
LBN Legal business name Alan, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Dec 7th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780654335 NPPES
Washington MEDICAID 7063910
Washington Other 0013655
Washington Other 0046298
Washington MEDICAID 1013002

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